基于动机保护理论的延续性护理结合赏识教育引导功能锻炼路径对强直性脊柱炎患者疾病活动性及功能锻炼积极性的影响  

Effects of continuous nursing based on motivation protection theory combined with appreciation education guided functional exercise path on disease activity and functional exercise enthusiasm of patients with ankylosing spondylitis

作　　者：徐思敏 赵霞 XU Simin;ZHAO Xia(Xi'an No.5 Hospital,Xi'an 710082,China)

机构地区：[1]西安市第五医院,陕西西安710082

出　　处：《临床医学研究与实践》2025年第3期143-146,共4页Clinical Research and Practice

摘　　要：目的 探讨基于动机保护理论的延续性护理结合赏识教育引导功能锻炼路径在强直性脊柱炎患者中的应用效果。方法 选取2019年6月至2022年6月我院收治的120例强直性脊柱炎患者,以随机数字表法将其分为对照组和观察组,各60例。对照组实施常规护理,观察组在常规护理基础上实施基于动机保护理论的延续性护理结合赏识教育引导功能锻炼路径。比较两组的干预效果。结果 干预后,观察组的Bath强直性脊柱炎疾病活动性指数(BASDAI)、Bath强直性脊柱炎计量指数(BASMI)、Bath强直性脊柱炎功能性指数(BASFI)评分均低于对照组(P<0.05)。干预后,观察组的积极举动、康复配合评分高于对照组,消极举动评分低于对照组(P<0.05)。干预后,观察组的自我管理行为、自我效能评分高于对照组(P<0.05)。干预后,观察组的心理、生理、社会适应性评分高于对照组(P<0.05)。结论 基于动机保护理论的延续性护理结合赏识教育引导功能锻炼路径可改善强直性脊柱炎患者的疾病活动性,增强功能锻炼积极性,提高其自我管理能力及生活质量。Objective To explore the application effect of continuous nursing based on motivation protection theory combined with appreciation education guided functional exercise path in patients with ankylosing spondylitis.Methods A total of 120 patients with ankylosing spondylitis admitted in our hospital from June 2019 to June 2022 were selected and divided into control group and observation group by random number table method,with 60 cases in each group.The control group was given routine nursing,and the observation group was given continuous nursing based on motivation protection theory combined with appreciation education guided functional exercise path on the basis of routine nursing.The intervention effects of the two groups were compared.Results After intervention,the scores of Bath Ankylosing Spondylitis Disease Activity Index(BASDAI),Bath Ankylosing Spondylities Metrology Index(BASMI)and Bath Andylosing Spondylitis Function Index(BASFI)in the observation group were lower than those in the control group(P<0.05).After intervention,the scores of positive behavior and rehabilitation cooperation in the observation group were higher than those in the control group,and the score of negative behavior was lower than that in the control group(P<0.05).After intervention,the self-management behavior and self-efficacy scores of the observation group were higher than those of the control group(P<0.05).After intervention,the psychological,physiological and social adaptability scores of the observation group were higher than those of the control group(P<0.05).Conclusion Continuous nursing based on motivation protection theory combined with appreciation education guided functional exercise path can improve the disease activity of patients with ankylosing spondylitis,enhance the enthusiasm of functional exercise,and improve their self-management ability and quality of life.

关 键 词：动机保护理论 延续性护理 赏识教育 功能锻炼路径 强直性脊柱炎 

分 类 号：R473[医药卫生—护理学]